相关实验视频
Updated: Sep 16, 2025

04:41
Knee Arthrocentesis in Adults
Published on: February 25, 2022
7.9K
在患有尿路感染的非发烧的幼儿中患有性关节炎
Andzelika Dechnik1, Thomas M Kennedy1
1Division of Pediatric Emergency Medicine, Department of Emergency Medicine, NewYork-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, New York.
Pediatrics
|July 8, 2025
概括
严重的细菌感染,如大肠杆菌败血性关节炎,可以发生在无发烧的婴儿. 早期诊断测试,包括尿液分析,对于幼儿的及时鉴定和治疗至关重要.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 新生儿科学 新生儿科学
背景情况:
- 对于发烧的婴儿有指导方针,但发烧的婴儿往往被忽视为严重的细菌感染.
- 年幼的婴儿,特别是两个月以下的婴儿,可能表现出严重疾病的微妙迹象.
研究的目的:
- 强调在无发烧的婴儿中考虑严重的细菌感染的重要性.
- 呈现一种由非发烧的婴儿尿路感染引起的大肠杆菌败血性关节炎病例.
- 强调需要在患有败血性关节炎的幼儿中进行诊断性尿检测.
主要方法:
- 一个5周大的发烧婴儿出现膝盖胀的病例报告.
- 诊断工作,包括在尿液和关节液中识别大肠杆菌.
- 对评估发烧婴儿现有指导方针的审查.
主要成果:
- 这名婴儿被诊断患有大肠杆菌尿路感染,并因败血性关节炎而复杂.
- 致病原体大肠杆菌 (E. coli) 在尿液和突液中被发现.
- 婴儿,尽管没有发烧,外表良好,但患有严重的细菌感染.
结论:
- 在两个月以下的无发烧婴儿中,应考虑严重的细菌感染.
- 诊断测试的低门,包括尿液分析,对于早期检测至关重要.
- 幼儿的败血性关节炎可能有尿源,需要尿培养.
相关概念视频
Acute Pyelonephritis I: Introduction
63
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
63
Urinary Tract Infection II: Pathophysiology
52
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
52
Acute Pyelonephritis II: Diagnostic Studies and Management
44
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
44
Urinary Tract Infection I: Introduction
54
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
54
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
46
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
46
Urinary Tract Infection IV: Nursing Management
94
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
94

